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CONSULTATION FORM

Please fill out the following *confidential consultation form below, so we can review your general health details and get back to you to identify the best course of treatment as per your beauty needs. 

 
Based on the information you provide in your consultation form, we will help determine next steps. To reserve your day/time appointment slot please visit our 'Online Booking' page to make your booking after completing this form. 
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*Privacy Policy
We value your privacy and are committed to protecting your personal information. Any personal details you share with us—including your name,
contact information, appointment history, photos, and any health or service-related notes—are kept strictly confidential.

​We do not share, sell, or distribute your information to third parties without your explicit consent, except when required by law. All digital records are securely stored and protected by password-encrypted systems. By using our services, you agree to this policy. If you have any questions or concerns, please contact us directly.

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Kindly fill out your consult at least 48 hours ahead of your appointment.
What service would you like to get done? Required
Please select all options that apply to you - Required
ATTACH CLOSE-UP PHOTO
Upload supported file (Max 15MB)
Signature
What is the best way to contact you? Required

THANK YOU FOR CONTACTING US

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​This is to confirm, your consultation form was successfully submitted.

We will review the information you have provide and

get in touch with you shortly.​

 

Kind wishes,

​Alodie

Ageless Aesthetic Studio

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